Belle Plaine Eyecare Center Llc | |
168 Commerce Dr E, Belle Plaine, MN 56011-2901 | |
(952) 873-5554 | |
Not Available |
Full Name | Belle Plaine Eyecare Center Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 168 Commerce Dr E, Belle Plaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730582735 | NPI | - | NPPES |
139494 | Other | MN | UCARE NUMBER |
498660000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3080 (Minnesota) | Primary |
Provider Name | Zachary B Dirks |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366640377 PECOS PAC ID: 1153413497 Enrollment ID: I20070816000591 |
Provider Name | Matthew Larson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316352834 PECOS PAC ID: 4587882881 Enrollment ID: I20201123001473 |
Provider Name | Emma Panning |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891535993 PECOS PAC ID: 3971047655 Enrollment ID: I20240705001633 |
Mailing Address | Practice Location Address |
---|---|
Belle Plaine Eyecare Center Llc 320 Sunrise Dr, Saint Peter, MN 56082-1352 Ph: (507) 931-6436 | Belle Plaine Eyecare Center Llc 168 Commerce Dr E, Belle Plaine, MN 56011-2901 Ph: (952) 873-5554 |
Olde World Optical Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Belle Plaine, MN 56011 Phone: 952-873-2244 Fax: 952-873-2244 |